1,051 results match your criteria sacroiliac dysfunction


Subchondral Bone Changes Following Sacroiliac Joint Arthrodesis - A Morpho-mechanical Assessment of Surgical Treatment of the Painful Joint.

Pain Physician 2021 May;24(3):E317-E326

Department of Anatomy, University of Otago, Dunedin, New Zealand; Department of Orthopaedic and Trauma Surgery, University of Leipzig, Leipzig, Germany; Fraunhofer IWU, Dresden, Germany.

Background: Sacroiliac joint arthrodesis is an ultima ratio treatment option for sacroiliac joint dysfunction. Fusion drastically reduces sacroiliac joint movement providing long-lasting pain-relief associated with tension-relief to the innervated sacroiliac joint structures involved in force closure.

Objectives: To display the bone mineralization distribution patterns of the subchondral bone plate in 3 distinct regions (superior, anterior, and inferior) of the sacral and iliac counterparts of the sacroiliac joint pre- and post-sacroiliac joint arthrodesis and compare patterns of sacroiliac joint dysfunction post-sacroiliac joint fusion with sacroiliac joint dysfunction pre- arthrodesis patterns and those from healthy controls. Read More

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The Efficiency of Manual Therapy and Sacroiliac and Lumbar Exercises in Patients with Sacroiliac Joint Dysfunction Syndrome.

Pain Physician 2021 May;24(3):223-233

Istanbul Faculty of Medicine, Istanbul University, Fatih, Turkey.

Background: Manual therapy, exercise therapy, and the combination of these 2 are common treatments for sacroiliac joint dysfunction syndrome. The effects of these treatments have been discussed in several studies; the superiority of one over the other for patients with sacroiliac joint dysfunction syndrome is still the subject of discussion.

Objective: This study aims to assess the effects of manual therapy for sacroiliac joints, sacroiliac joints home-based exercises, and home-based lumbar exercises. Read More

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Minimally Invasive Sacroiliac Fusion Revision: A Technique Guide.

Int J Spine Surg 2021 Apr 1;15(2):274-279. Epub 2021 Apr 1.

Ortho San Antonio, San Antonio, Texas.

Study Design: A retrospective case-series of revision sacroiliac joint (SIJ) fusions.

Objective: To provide a technique guide for revision minimally invasive SIJ fusion.

Summary Of Background Data: SIJ dysfunction is a prevalent, yet underdiagnosed condition. Read More

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Computed tomography osteoabsorptiometry-based investigation on subchondral bone plate alterations in sacroiliac joint dysfunction.

Sci Rep 2021 Apr 21;11(1):8652. Epub 2021 Apr 21.

Department of Macroscopic and Clinical Anatomy, Medical University of Graz, Graz, Austria.

Sacroiliac joint dysfunction (SIJD) is an underappreciated source of back pain. Mineralization patterns of the sacroiliac (SIJ) subchondral bone plate (SCB) may reflect long-term adaptations to the loading of the joint. Mineralization densitograms of 27 SIJD patients and 39 controls, were obtained using CT osteoabsorptiometry. Read More

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A Closer Look into the Association between the Sacroiliac Joint and Low Back Pain.

Spartan Med Res J 2021 Apr 13;6(1):21971. Epub 2021 Apr 13.

McLaren Health Care.

Introduction: Low back pain is the most common type of global disability and annually costs the United States over two billion dollars. Opioids have been used to reduce low back pain, although current evidence concerning efficacy is lacking. Sacroiliac joint dysfunction (SIJD) is estimated to be a primary pain source of low back pain in between 10 and 25% of affected patients. Read More

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[Minimally Invasive Sacroiliac Joint Stabilization].

Acta Chir Orthop Traumatol Cech 2021 ;88(1):35-38

Neurochirurgická klinika Lékařské fakulty Univerzity Palackého a Fakultní nemocnice Olomouc.

PURPOSE OF THE STUDY Sacroiliac joint dysfunction is defined as a permanent chronic pain originating from the sacroiliac joint, limiting the patient's daily activities. The purpose of this study was to evaluate the effectiveness of the minimally invasive sacroiliac joint stabilization by triangular titanium implants in patients with sacroiliac joint dysfunction. MATERIAL AND METHODS The prospective study evaluated the patients who had underwent a minimally invasive sacroiliac joint stabilization for sacroiliac joint dysfunction with the use of iFuse® implants. Read More

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The prevalence and clinical characteristics of sacroiliac joint dysfunction in adolescent baseball players.

J Orthop Sci 2021 Mar 7. Epub 2021 Mar 7.

Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima City, Fukushima, Japan.

Background: Sacroiliac joint (SIJ) dysfunction is a potential source of low back pain (LBP) in baseball players, who are more likely to be affected by loading of the SIJ in the throwing motion. However, the prevalence and characteristics of this condition have not been studied thoroughly. This study aimed to investigate the prevalence and clinical characteristics of SIJ dysfunction among high school baseball players. Read More

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Comparison of Glutues Maximus Activation to Flexion Bias Exercises Along with MET Technique in Subjects with Anterior Rotated Sacroiliac Joint Dysfunction-a Randomised Controlled Trial.

Int J Ther Massage Bodywork 2021 Mar 1;14(1):30-38. Epub 2021 Mar 1.

Department of Physiotherapy, Manipal Academy Of Higher Education, School of Allied Health Sciences, Bangalore, India.

Background: Sacroiliac joint dysfunction (SIJD) is the primary source of low-back pain. Main muscles forming the force closure of sacroiliac joint are the biceps femoris and gluteus maximus which increase the stability through massive attachments via sacrotuberous ligament. However, there is a dearth of literature of the importance of activation of gluteus maximus in SIJD. Read More

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Treatment of sacroiliac joint laxity-induced coronal imbalance with the kickstand rod technique.

Br J Neurosurg 2021 Feb 20:1-6. Epub 2021 Feb 20.

Department of Neurosurgery, Washington University School of Medicine, St. Louis, MO, USA.

Background: Considerations of the sacroiliac joint (SIJ) and its role in causing lower back and limb pain have taken a secondary role ever since Mixter and Barr's hallmark article in 1934 on the herniated nucleus pulposus. However, recent literature has highlighted the contribution of sacroiliac joint degeneration in the development of failed back surgery syndrome (FBSS), especially in patients undergoing lumbar or lumbosacral spinal fusion surgeries. Many reports have studied the anatomy, physiology, and clinical significance of the sacroiliac joint, but none have linked its dysfunction with other spinal deformities. Read More

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February 2021

Pain and functional outcomes of the sacroiliac joint after platelet-rich plasma injection: a descriptive review.

Regen Med 2021 01 3;16(1):87-100. Epub 2021 Feb 3.

Physical Medicine & Rehabilitation & Regenerative Sports Medicine, Baylor College of Medicine, Houston, TX, 77030, USA.

The purpose of this manuscript is to highlight and review the status of literature regarding efficacy of platelet-rich plasma (PRP) in the treatment of sacroiliac joint (SIJ) dysfunction. A review of the literature on PRP interventions on the SIJ or ligaments was performed. Seven studies had improvements in their respective primary end point and demonstrated a strong safety profile without any serious adverse events. Read More

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January 2021

Phenotypic characterization of circulating endothelial cells induced by inflammation and oxidative stress in ankylosing spondylitis.

Free Radic Res 2021 Feb 1:1-13. Epub 2021 Feb 1.

Department of Clinical Immunology & Rheumatology, Institute of Post Graduate Medical Education & Research, Kolkata, India.

Ankylosing spondylitis (AS) is a chronic auto-immune disease, affecting the spine, sacroiliac, and sometimes peripheral joints. It is also involved with cardio-vascular risk factors due to accelerated atherosclerosis. Oxidative burst, systemic inflammation coupled with endothelial dysfunction (ED), resulting in reduced bioavailability of the vasodilator nitric oxide (NO) and an increased number of circulating endothelial cells (CECs) may correlate with disease activity and its sustenance. Read More

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February 2021

Rare subtype of multiple myeloma presenting as sacroiliac joint pain in an avid golfer: a case report.

J Can Chiropr Assoc 2020 Dec;64(3):237-247

Private practice.

Objective: Kappa (κ) light chain multiple myeloma can be disguised as low back pain (LBP), and as such may present to a primary contact provider such as a chiropractor. The rarity and non-specific nature of the clinical presentation of this condition typically lead to a delayed diagnosis.

Case Presentation: A 53-year old male avid golfer presented to a chiropractor with a chief complaint of LBP. Read More

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December 2020

Sacroiliac Joint Dysfunction Treated Using Neural Therapy to the Temporomandibular Joint: A Case Report.

Complement Med Res 2021 Jan 11:1-3. Epub 2021 Jan 11.

Başkent University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Ankara, Turkey,

Temporomandibular joint disorders (TMJD) include temporomandibular joint dysfunction and bruxism. Sacroiliac joint dysfunction (SJD) is a frequent cause of non-discogenic low back pain. Studies suggest a relationship between TMJD and SJD; however, the link remains unclear. Read More

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January 2021

Axial spondyloarthritis: new advances in diagnosis and management.

BMJ 2021 01 4;372:m4447. Epub 2021 Jan 4.

Rheumatology, Allergy & Clinical Immunology Division, University of California, Davis, Shriners Hospital, Sacramento, California, USA.

Axial spondyloarthritis (axSpA) is an inflammatory disease of the axial skeleton associated with significant pain and disability. Previously, the diagnosis of ankylosing spondylitis required advanced changes on plain radiographs of the sacroiliac joints. Classification criteria released in 2009, however, identified a subset of patients, under the age of 45, with back pain for more than three months in the absence of radiographic sacroiliitis who were classified as axSpA based on a positive magnetic resonance imaging or HLAB27 positivity and specific clinical features. Read More

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January 2021

Are Hydroxyapatite-Coated Screws a Good Option for Sacroiliac Joint Stabilization? A Prospective Outcome Study.

World Neurosurg 2021 Apr 29;148:e164-e171. Epub 2020 Dec 29.

Consultant in Trauma and Orthopaedics: University Hospital Llandough, Cardiff, United Kingdom.

Objective: This is a single-surgeon series to prospectively evaluate the clinical and radiologic results of sacroiliac joint (SIJ) stabilization using hydroxyapatite (HA)-coated, fully threaded screws in patients with SIJ dysfunction.

Methods: A total number of 40 patients underwent percutaneous SIJ stabilization using HA-coated screws between 2013 and 2015 at the University Hospital of LLandough with an age range of 33-84 years. Patients were followed up closely, and outcome scores were collected preoperative and 12 months after surgery. Read More

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Surgical Strategy for Sacral Tumor Resection.

Yonsei Med J 2021 Jan;62(1):59-67

Department of Neurosurgery, Spine and Spinal Cord Institute, Gangnam Severance Spine Hospital, Yonsei University College of Medicine, Seoul, Korea.

Purpose: This study aimed to present our experiences with a precise surgical strategy for sacrectomy.

Materials And Methods: This study comprised a retrospective review of 16 patients (6 males and 10 females) who underwent sacrectomy from 2011 to 2019. The average age was 42. Read More

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January 2021

The effect of sacroiliac chiropractic adjustments on innominate angles.

Health SA 2020 17;25:1398. Epub 2020 Nov 17.

Department of Chiropractic, Faculty of Health Sciences, University of Johannesburg, Johannesburg, South Africa.

Aim: The aim of this study was to determine whether or not a measurable change in the angle of the innominate bone could be identified after a chiropractic sacroiliac adjustment using a 'PALM PALpation Meter'. Secondly, if a change in the angle of the innominate bone was identified, what was the degree of change in the angle of the innominate bone, induced by the sacroiliac joint (SIJ) adjustment.

Method: This was a true experimental study that consisted of 100 participants who met the inclusion criteria. Read More

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November 2020

A Review and Algorithm in the Diagnosis and Treatment of Sacroiliac Joint Pain.

J Pain Res 2020 8;13:3337-3348. Epub 2020 Dec 8.

Pain Specialists of America, Austin, TX, USA.

Introduction: The sacroiliac joint (SIJ) has been estimated to contribute to pain in as much as 38% of cases of lower back pain. There are no clear diagnostic or treatment pathways. This article seeks to establish a clearer pathway and algorithm for treating patients. Read More

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December 2020

The association of parturition scars and pelvic shape: A geometric morphometric study.

Am J Phys Anthropol 2021 03 9;174(3):519-531. Epub 2020 Dec 9.

Department of Evolutionary Biology, University of Vienna, Vienna, Austria.

Objectives: Pelvic features, mostly known as parturition scars, have been extensively studied in the last decades and are frequently investigated in archaeological and forensic contexts. It is still unclear, however, whether they really relate to pregnancy and birth, or whether these features are caused by other biomechanical factors. Because the length and difficulty of labor correlates with the form of the birth canal, we studied the association between the expression of pelvic features and pelvic shape using geometric morphometrics. Read More

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A painful unknown: sacroiliac joint diagnosis and treatment.

EFORT Open Rev 2020 Oct 26;5(10):691-698. Epub 2020 Oct 26.

Polyclinique Bordeaux Nord Aquitaine, Bordeaux Univ, 33 300 Bordeaux, France.

The sacroiliac joint (SIJ) is a complex anatomical structure located near the centre of gravity of the body.Micro-traumatic SIJ disorders are very difficult to diagnose and require a complete clinical and radiological examination.To diagnose micro-trauma SIJ pain it is recommended to have at least three positive provocative specific manoeuvres and then a radiologically controlled infiltration test. Read More

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October 2020

Accuracy of the Diagnostic Tests of Sacroiliac Joint Dysfunction.

J Chiropr Med 2020 Mar 12;19(1):28-37. Epub 2020 Sep 12.

Department of Sports and Exercise Medicine, Rasool Akram Hospital, Iran University of Medical Sciences, Tehran, Iran.

Objective: The purpose of this study was to assess the reliability and validity of motion palpation and pain provocation compared with sacroiliac joint (SIJ) block as the gold-standard assessment method of patients with sacroiliac joint dysfunction (SIJD).

Methods: A cross-sectional study was conducted in the Department of Sports and Exercise Medicine at Rasool Akram Hospital. Forty-eight patients suspected of having SIJD were selected from a total of 150 patients on the basis of a combination of symptoms, physical tests, and magnetic resonance imaging findings. Read More

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Sacroiliac joint fusion VS conservative management for chronic low back pain attributed to the sacroiliac joint: A protocol for systematic review and meta analysis.

Medicine (Baltimore) 2020 Nov;99(46):e23223

Department of Orthopaedics, The Affiliated TCM Hospital of Guangzhou Medical University, Guangzhou 510130, People's Republic of China.

Introduction: Low back pain (LBP) is high prevalent and it is the leading cause of years lived with disability in both developed and developing countries. The sacroiliac joint (SIJ) is a common reason that caused LBP. At present, the treatment of chronic LBP attributed to SIJ is mainly conservative treatment and surgical treatment. Read More

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November 2020

Effectiveness of muscle energy technique as compared to Maitland mobilisation for the treatment of chronic sacroiliac joint dysfunction.

J Pak Med Assoc 2020 Oct;70(10):1693-1697

University Institute of Physical Therapy, The University of Lahore Islamabad Campus, Pakistan.

Objective: To compare the effectiveness of Muscle Energy Technique (MET) with Maitland mobilisations when using lumbopelvic stability exercises as an adjunct therapy with them in reducing pain and disability in patients with sacroiliac joint dysfunction (SIJD).

Methodology: A randomised controlled trial was conducted at physical therapy departments of Khyber Teaching Hospital, Lady Reading Hospital and Rehab Polyclinic, Peshawar, Pakistan and comprised of data over a to a six-month period from January 2015 to June 2015. Sixty participants (both male and female with an age range of 25-55 years) were randomly assigned to two equal groups of 30 (50%) each by chit-box method. Read More

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October 2020

Axial involvement in patients with early peripheral spondyloarthritis: a prospective MRI study of sacroiliac joints and spine.

Ann Rheum Dis 2021 01 28;80(1):103-108. Epub 2020 Oct 28.

Internal Medicine and Pediatrics, Ghent University Faculty of Medicine and Health Sciences, Ghent, Belgium.

Objectives: To assess axial involvement on MRI in early peripheral spondyloarthritis (pSpA) and to evaluate whether axial inflammation predicts relapse on treatment withdrawal.

Methods: Fifty-six patients with early, active, newly diagnosed pSpA underwent MRI of the sacroiliac joints (SIJs) and spine prior to golimumab initiation. At sustained clinical remission of pSpA, treatment was withdrawn and a second MRI was performed. Read More

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January 2021

Ectopic bone formation and systemic bone loss in a transmembrane TNF-driven model of human spondyloarthritis.

Arthritis Res Ther 2020 10 6;22(1):232. Epub 2020 Oct 6.

Institute of Immunology, Biomedical Sciences Research Center (BSRC), 'Alexander Fleming', 34 Alexander Fleming Street, 16672, Vari, Greece.

Background: The transmembrane-TNF transgenic mouse, TgA86, has been shown to develop spontaneously peripheral arthritis with signs of axial involvement. To assess similarity to human spondyloarthritis, we performed detailed characterization of the axial, peripheral, and comorbid pathologies of this model.

Methods: TgA86 bone pathologies were assessed at different ages using CT imaging of the spine, tail vertebrae, and hind limbs and characterized in detail by histopathological and immunohistochemical analysis. Read More

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October 2020

Evaluation and Management of Sacroiliac Dysfunction Utilizing an Evidence-Based Algorithmic Approach: A Case Study.

Cureus 2020 Aug 20;12(8):e9907. Epub 2020 Aug 20.

Physical Therapy, Irwin Army Community Hospital, Manhattan, USA.

The sacroiliac joint (SIJ) is an important contributor to persistent and functionally limiting lower back pain. Despite extensive debate and research, there is no definitive treatment recommendation or high-level evidence to support a conservative care treatment approach, nor interventional or surgical management procedures for the alleviation of pain originating from the SIJ. Traditional physical therapy and conservative approaches to generalized lower back pain often fail in this patient subset prompting sub-specialty consultation to a pain management center. Read More

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C1-C2 instability in psoriatic arthritis.

Pan Afr Med J 2020 27;36:217. Epub 2020 Jul 27.

Department of Orthopaedics and Trauma, Sahloul Hospital of Sousse, Sousse, Tunisia.

Cervical spine damage is common in psoriatic arthritis especially in older forms and it is rarely initiated by symptomatic atloid-axoid instability. Spinal involvement is frequently associated with sacroiliac dysfunction, the cervical spine involvement is observed in 35%-75% of cases with two types of radiological lesion. Upper cervical spine localization often manifests as C1-C2 arthritis, lower cervical spine involvement is manifested by syndesmophytes, ossification of the anterior longitudinal ligament and posterior inter apophyseal osteoarthritis. Read More

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December 2020

Chronic High Hamstring Tendinopathy and Sacroiliac Segmental Dysfunction in a Mature Tae Kwon Do Athlete: A Case Study.

J Chiropr Med 2019 Dec 3;18(4):317-320. Epub 2020 Sep 3.

Clinic Services, Palmer College of Chiropractic Florida, Port Orange, Florida.

Objective: This case study describes conservative management of high hamstring tendinopathy in a master's-age tae kwon do athlete.

Clinical Features: A 53-year-old female tae kwon do athlete of 10 years presented after ceasing activities of performance for over a year owing to chronic pain of insidious onset in the left buttock with radiation to the left hip and posterior thigh. The patient's pain was preventing her from being able to perform regular activities of daily living such as brisk walking or sitting. Read More

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December 2019

Cervical spine involvement in ankylosing spondylitis mimicking Eagle's syndrome.

Authors:
Sadettin Uslu

Rheumatology (Oxford) 2021 02;60(2):995-996

Department of Rheumatology, Ömer Halisdemir University Bor Physical Medicine and Rehabilitation, Training and Research Hospital, Niğde, Turkey.

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February 2021